Newborns need to be monitored for mental status and respiratory status after birth, especially if they are born prematurely at less than 37 weeks gestational age. If a newborn presents with symptoms such as moaning, shortness of breath, difficulty breathing and a blue face shortly after birth, the first warning is needed. Usually neonatal respiratory distress syndrome occurs shortly after birth, before leaving the hospital, and any abnormalities can be promptly checked by a doctor.